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1979, 12-10 Permit: 79-8875 Addition
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i SPOKANE COUNTY — BUILDING CODES DEPARTMENT 77 2j 07 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 0 2 * * 23.0 0 LEGAL DESCRIPTION - SEE ATTACHED 2 a Q 0 rfi LOT BLOCK SUB IVISION PARCEL NUMBER/S — 2. .Z�- " � 35., �1 _ (; '�.�1 I * 23.006 OWNER PHONE VA Or 141/ VCC�, k. it .' o P-2.- 1 * c^ 3, L,2.-t- v vv.-,+-L�. r i,,i..4 `I c1 c r s 101 21 I' - Sr i&-7 I t 6-.IO E C? 0 0 ADDRESS ZIP Required Set Backs in Feet 8 8 7,4 z 5 7C ( 1W U' Ct 1 U</ C, 6 North ISouth40 East f�0 West40 1 2- 1 0-7 9 CONTRACTOR J PHONE Si a of ParcelO Zon C assification Sc,,,A-ice' ` ;2) J '1N C 6.4 7 9. 4' ADDRESS Z• IP apeCo st. Oc panty Sprinklered So -v.:f 'A - ❑Yes 'gLVo ❑ Req'd. DESIGNER P• HONE Valuatipnn © ) Buildina in Sq. Ft. Y4� /DD 90 5. ADDRESS ' Z• IP DWL Area I Basement Area Garage Area Storage — 9.0 -- — CHANGE OF USE FROM TO Split Entry Split Level Ra 6. No.Baths No. Floors No. Rooms Rec. Room TYPE ❑�N W 1=1ALT. AD'N. 1=1 RPL. ❑ MVE. / / �---' El], OF OTHER ot Req' WORK D. ❑ PLMB. CI MECH: CIM.H, ❑ POOL CERTIFICATE Req'd. Recd. N d. of EXEMPTION DESCRIBE WORK 8 rots i'I A t�v� FEES COLLECTED VALUATION' Source GAS ELECTRIC WATER SEWER of 9. ©0 Utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building t... • 0 type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Plumbing DATE t a - l d -- -761 SIGNATU Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. p� L .11j li,� i rtArfe- Plan Check Env Ith / I Z\1Ur `r0 �N /�,f/ 1 SEPA CD PI Hing CD — W Mobile Home Fire Marsha Z Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA ChecklistTHIS BECOMES A PERMIT. J ;% DATE / Ai OFFICIAL 1 2 "-1 U 7 j S 1, i * 2 5, 0 0 L ,-- APPROVED FOR ISSNCE y70 D MA 0_,1 ,eq <-.- : --"N t .___ _ ("Z > S za,�TvwK Pc�Yce1 N.. 13 S Ll 3-0(off y +� 0. 3 � '�. �,�% of w1, =;' :oS. � (0 61ock p�)Uerc,j O �' VI• 1— I iry I I til i o 1 • Y /l